Venous thromboembolism （VTE） is the commonest cause of preventable death in hospitalized patients. Elderly patients have higher risk of VTE because of the high prevalence of predisposing co-morbidities and acute ill...Venous thromboembolism （VTE） is the commonest cause of preventable death in hospitalized patients. Elderly patients have higher risk of VTE because of the high prevalence of predisposing co-morbidities and acute illnesses. Clinical diagnosis of VTE in the elderly patient is particularly difficult and, as such, adequate VTE prophylaxis is of pivotal importance in reducing the mortality and morbidities of VTE. Omission of VTE prophylaxis is, however, very common despite continuous education. A simple way to overcome this problem is to implement universal VTE prophylaxis for all hospitalized elderly patients instead of selective prophylaxis for some patients only according to individual＇ s risk of VTE. Although pharmacological VTE prophylaxis is effective for most patients, a high prevalence of renal impairment and drug interactions in the hospitalized elderly patients suggests that a multimodality approach may be more appropriate. Mechanical VTE prophylaxis, including calf and thigh compression devices and/or an inferior vena cava filter, are often underutilized in hospitalized elderly patients who are at high-risk of bleeding and VTE. Because pneumatic compression devices and thigh length stockings are virtually risk free, mechanical VTE prophylaxis may allow early or immediate implementation of VTE prophylaxis for all hospitalized elderly patients, regardless of their bleeding and VTE risk. Although the cost-effectiveness of this Multimodality Universal STat （＇MUST＇） VTE prophylaxis approach for hospitalized elderly patients remains uncertain, this strategy appears to offer some advantages over the traditional ＇selective and single-modal＇ VTE prophylaxis approach, which often becomes ＇hit or miss＇ or not implemented promptly in many hospitalized elderly patients. A large clustered randomized controlled trial is, however, needed to assess whether early, multimodality, universal VTE prophylaxis can improve important clinical outcomes of hospitalized elderly patients.展开更多
The novel JX-7 jet fuel desulfurizing agent has been successful tested in commercial scale on the jet fuel hydrotreating unit at the SINOPEC Gaoqiao Branch Company,while delivering a jet fuel with its silver strip cor...The novel JX-7 jet fuel desulfurizing agent has been successful tested in commercial scale on the jet fuel hydrotreating unit at the SINOPEC Gaoqiao Branch Company,while delivering a jet fuel with its silver strip corrosion indicator meeting the military jet fuel standard.展开更多
The combustion chamber is an important component for the Stifling engine heated by natural gas. In the paper, we develop a combustion chamber for the Stifling engine which aims to generate 3-5 kWe electric power. The ...The combustion chamber is an important component for the Stifling engine heated by natural gas. In the paper, we develop a combustion chamber for the Stifling engine which aims to generate 3-5 kWe electric power. The combustion chamber includes three main components： combustion module, heat exchange cavity and thermal head. Its feature is that the structure can divide ＂combustion＂ process and ＂heat transfer＂ process into two appar- ent individual steps and make them happen one by one. Since natural gas can mix with air fully before burning, the combustion process can be easily completed without the second wind. The flame can avoid contacting the thermal head of Stifling engine, and the temperature fields can be easily controlled. The designed combustion chamber is manufactured and its performance is tested by an experiment which includes two steps. The experi- mental result of the first step proves that the mixture of air and natural gas can be easily ignited and the flame burns stably. In the second step of experiment, the combustion heat flux can reach 20 kW, and the energy utiliza- tion efficiency of thermal head has exceeded 0.5. These test results show that the thermal performance of com- bustion chamber has reached the design goal, The designed combustion chamber can be applied to a real Stifling engine heated by natural gas which is to generate 3-5 kWe electric power.展开更多
文摘Venous thromboembolism （VTE） is the commonest cause of preventable death in hospitalized patients. Elderly patients have higher risk of VTE because of the high prevalence of predisposing co-morbidities and acute illnesses. Clinical diagnosis of VTE in the elderly patient is particularly difficult and, as such, adequate VTE prophylaxis is of pivotal importance in reducing the mortality and morbidities of VTE. Omission of VTE prophylaxis is, however, very common despite continuous education. A simple way to overcome this problem is to implement universal VTE prophylaxis for all hospitalized elderly patients instead of selective prophylaxis for some patients only according to individual＇ s risk of VTE. Although pharmacological VTE prophylaxis is effective for most patients, a high prevalence of renal impairment and drug interactions in the hospitalized elderly patients suggests that a multimodality approach may be more appropriate. Mechanical VTE prophylaxis, including calf and thigh compression devices and/or an inferior vena cava filter, are often underutilized in hospitalized elderly patients who are at high-risk of bleeding and VTE. Because pneumatic compression devices and thigh length stockings are virtually risk free, mechanical VTE prophylaxis may allow early or immediate implementation of VTE prophylaxis for all hospitalized elderly patients, regardless of their bleeding and VTE risk. Although the cost-effectiveness of this Multimodality Universal STat （＇MUST＇） VTE prophylaxis approach for hospitalized elderly patients remains uncertain, this strategy appears to offer some advantages over the traditional ＇selective and single-modal＇ VTE prophylaxis approach, which often becomes ＇hit or miss＇ or not implemented promptly in many hospitalized elderly patients. A large clustered randomized controlled trial is, however, needed to assess whether early, multimodality, universal VTE prophylaxis can improve important clinical outcomes of hospitalized elderly patients.
文摘The novel JX-7 jet fuel desulfurizing agent has been successful tested in commercial scale on the jet fuel hydrotreating unit at the SINOPEC Gaoqiao Branch Company,while delivering a jet fuel with its silver strip corrosion indicator meeting the military jet fuel standard.
基金supported by the National Natural Science Foundation of China(Grant No.51161140332)
文摘The combustion chamber is an important component for the Stifling engine heated by natural gas. In the paper, we develop a combustion chamber for the Stifling engine which aims to generate 3-5 kWe electric power. The combustion chamber includes three main components： combustion module, heat exchange cavity and thermal head. Its feature is that the structure can divide ＂combustion＂ process and ＂heat transfer＂ process into two appar- ent individual steps and make them happen one by one. Since natural gas can mix with air fully before burning, the combustion process can be easily completed without the second wind. The flame can avoid contacting the thermal head of Stifling engine, and the temperature fields can be easily controlled. The designed combustion chamber is manufactured and its performance is tested by an experiment which includes two steps. The experi- mental result of the first step proves that the mixture of air and natural gas can be easily ignited and the flame burns stably. In the second step of experiment, the combustion heat flux can reach 20 kW, and the energy utiliza- tion efficiency of thermal head has exceeded 0.5. These test results show that the thermal performance of com- bustion chamber has reached the design goal, The designed combustion chamber can be applied to a real Stifling engine heated by natural gas which is to generate 3-5 kWe electric power.
